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CARMEN GAIL DALTON FNP-C
NPI 1609592872
Nurse Practitioner - Primary Care in Prescott Valley, AZ

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
6648 N VIEWPOINT DR STE 5, PRESCOTT VALLEY, AZ 86315(928) 708-4800(928) 458-2123 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2025, Oct 18, 2022 (2 updates tracked since 2022).

About Carmen Gail Dalton Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN GAIL DALTON FNP-C (NPI 1609592872) is an individual primary care provider in Prescott Valley, Arizona, licensed in Arizona (282720) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609592872
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCARMEN GAIL DALTONCredential: FNP-C
Location Address6648 N VIEWPOINT DR STE 5Prescott Valley, AZ 86315-4942
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358
Phone(928) 708-4800
Fax(928) 458-2123
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 18, 2022
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1609592872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · 282720
6648 N VIEWPOINT DR STE 5, Prescott Valley, AZ 86315
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen Gail Dalton Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729455696
PECOS Enrollment IDI20221104002781
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Dalton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yavapai Regional Medical Center Physician Care LLC
3.3 mi
Family Medicine
7700 E FLORENTINE RD BLDG B, SUITE A101
Prescott Valley, AZ 86314
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group
NPI 1043449887 (928) 442-8710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
205 services129 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services115 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEENA JEANINE- TEJADA CHENTFANT FNP
Nurse Practitioner (Family)
6648 N VIEWPOINT DR STE 5
PRESCOTT VALLEY, AZ 86315
Yavapai County (928) 708-4800
PATRICIA JANE COATES APRN
Nurse Practitioner (Family)
6648 N VIEWPOINT DR STE 5
PRESCOTT VALLEY, AZ 86315
Yavapai County (928) 708-4800
JOHN R ALESSI DO
Family Medicine
6648 N VIEWPOINT DR STE 5
PRESCOTT VALLEY, AZ 86315
Yavapai County (928) 636-5680
BROOKE A GREEN DNP-C
Nurse Practitioner (Primary Care)
6648 N VIEWPOINT DR STE 5
PRESCOTT VALLEY, AZ 86315
Yavapai County (928) 708-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Dalton's NPI number?

The NPI number for Carmen Dalton is 1609592872. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Carmen Dalton located?

Carmen Dalton practices at 6648 N Viewpoint Dr Ste 5, Prescott Valley, AZ 86315. The listed phone number is (928) 708-4800.

What is Carmen Dalton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Carmen Dalton enrolled in Medicare?

Yes. Carmen Dalton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carmen Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Dalton reassigns Medicare benefits to Yavapai Regional Medical Center Physician Care LLC (Prescott Valley, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Dalton accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Carmen Dalton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Dalton was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.